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Q68 ICD-10-CM Code: Other congenital musculoskeletal deformities

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Q68

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other congenital musculoskeletal deformities

Other congenital musculoskeletal deformities

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Q6Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
Q68Other congenital musculoskeletal deformities

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Q68 in this effective period.

Excludes 2

Official
  • congenital myotonic chondrodystrophy (G71.13)

Related Child Codes

Official
Q68.0Congenital deformity of sternocleidomastoid muscle
Q68.1Congenital deformity of finger(s) and hand
Q68.2Congenital deformity of knee
Q68.3Congenital bowing of femur
Q68.4Congenital bowing of tibia and fibula

Includes

Official

ICD-10-CM does not list Includes notes for Q68 in this effective period.

Excludes 1

Official
  • reduction defects of limb(s) (Q71-Q73)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q68 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Q68 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q68 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

Q68 is the ICD-10-CM diagnosis code for other congenital musculoskeletal deformities. Q68 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering congenital malformations and deformations of the musculoskeletal system (q65-q79).

Header codes like Q68 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at Q68's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q68 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • reduction defects of limb(s) (Q71-Q73)

Excludes 2, Not included here, may code separately

  • congenital myotonic chondrodystrophy (G71.13)

Child Codes

Code Hierarchy

Q68Other congenital musculoskeletal deformities
Q68Other congenital musculoskeletal deformities

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